ll separated bony spiculae. There
was no sign of old haemorrhage. The spinal cord was practically
gone between the levels of the fourth and seventh dorsal
vertebrae, and diffluent from myelitis up to the third cervical.

(101) _Dorsal region; total transverse lesion._--Wound of
_entry_ (Mauser), in the left supra-spinous fossa of the
scapula; _exit_, between the eleventh and twelfth ribs of the
right side. Complete motor and sensory paralysis, with absence
of reflexes from mid-dorsal region downwards. Upper
intercostals working. Retention of urine, penis turgid.
Sensation perfect to lower extremity of sternum. Early trophic
sacral bed-sores developed and steadily increased in depth and
extent, slighter ones developed on the heels. The paralysis was
flaccid throughout. The patient gradually emaciated with fever,
and died on the seventy-eighth day.

At the _post-mortem_ the wound proved not to have penetrated
the thorax, and both the vertebral spines and laminae were
intact, no trace of bony injury being discoverable. Opposite
the sixth dorsal vertebra, for a distance of 1-1/2 inch, the
cord and dura were adherent, and over the same area the cord
was represented by soft custard-like material. There was no
sign of old haemorrhage.

(102) _Dorsal region; total transverse lesion; slight
extra-dural haemorrhage._--Wound of _entry_ (Mauser), at the
posterior aspect of the right shoulder; _exit_, 2 inches to the
left of the spine below the ninth rib.

Complete motor and sensory paralysis below the site of the
lesion, with absence of superficial and deep reflexes.
Retention of urine. Great abdominal distension, pain, and
vomiting. Bed-sores over the sacrum developed on the third day;
meanwhile the vomiting continued on and off for a week, and
very severe girdle pain persisted.

One month later when seen at the Base hospital considerable
improvement had occurred. Sensation had returned in both lower
limbs; but flaccid paralysis persisted and both were wasted,
especially the left. There was no return of reflexes in the
lower limbs, the urine was passed in gushes, and the patient
was cognisant when these occurred. The sacral bed-sores were,
however, very extensive and becoming larger and deeper.

At the end of the fifth week slight